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COF SHOP
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Greenville Incident Report
Your Name and Role
Your Email Address
Volunteer/Congregant Name (involved in the incident)
Volunteer/Congregant Contact Information
Did the incident happen at GCOF?
YES
NO
If not, where did it happen?
Date of the incident:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
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Year
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2037
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2039
2040
2041
2042
2043
2044
2045
2046
Description of incident (provide as much detail as possible, including sequence of events leading up to the incident)
Was the volunteer/congregant injured?
YES
NO
If yes, describe the injury.
Was medical attention necessary?
YES
NO
Any additional information needed?
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